Sections 23, 25, 30, 40, 89, 91, 93, 97 B & D, 102: July Cost-of-Living Adjustments (COLAs)

Jul 03, 2025

MaineCare is preparing to increase reimbursement rates through a 1.0% COLA for certain services that are regularly scheduled to receive them in July. This COLA was recently appropriated by the Legislature through a budget amendment (with P.L. 2025, Ch. 388, Part GGG).  

Funding for these COLAs will be made available to the Department pending a 90-day waiting period that began with the adjournment of Legislature on June 25, 2025. 

These new rates will be funded retroactively to July 1, 2025, and will reflect a 1.0% COLA.  

The updated fee schedules will be available for viewing on the Rate Setting page of the Health PAS online portal as they are completed and prior to implementation.  

These COLAs affect rates for eligible services under the following Sections of the MaineCare Benefits Manual (MBM).

COLA Rate Adjustments: MaineCare Benefits Manual Section/Title

Section 23	Developmental and Behavioral Evaluation Clinic Services
Section 25	Dental Services
Section 30	Family Planning Services (select codes)
Section 40	Home Health Services
Section 89	MaineMOM Services
Section 91	Health Home Services – Community Care Teams
Section 93	Opioid Health Home Services
Section 97	Private Non-Medical Institutions, Appendix B
Section 97	Private Non-Medical Institutions, Appendix D
Section 102	Rehabilitative Services

Note: Certain services under Sections 31, 45 and 97C will also receive this 1.0% COLA. Separate notices with those details are forthcoming.   

Billing Guidance 

Providers should continue to bill the rates that are currently in effect. Once new rates are implemented, providers will be responsible for adjusting all claims.   

For questions, please contact your Provider Relations Specialist.